Organization
DILLON COMPANIES LLC
Active
Other names
GERBES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1729 W BROADWAY, COLUMBIA, MO 65203
(573) 445-9451
(573) 446-2844
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(620) 669-1894
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4149
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050351
PK
—
05
—
600120166
—
MO
Enumeration date
06/10/2006
Last updated
08/08/2018
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